A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?
"You should be prepared to answer your child's questions about dying."
"Your child likely views death as temporary."
"You should hide your grief as much as possible around your child."
"You should limit visits between the siblings at this time."
The Correct Answer is A
A. "You should be prepared to answer your child's questions about dying." is appropriate because children at this age may have questions about death and dying. It is important for the guardian to be honest and provide age-appropriate answers to help the child understand and cope with their situation.
B. While younger children often view death as temporary, a 10-year-old child typically has a more developed understanding of the finality of death. This statement might not be accurate for this age group.
C. Hiding grief is not recommended as it can create an atmosphere of secrecy and fear. It is better to model healthy expressions of emotions and provide support for the child's feelings.
D. Limiting visits between siblings may not be necessary and can be detrimental. Sibling support can be very important for both the ill child and the sibling, providing comfort and a sense of normalcy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While loss of family income can contribute to stress and depression, it is not the highest risk factor for suicide.
B. Parental substance use disorder can increase the risk of suicidal behaviors in adolescents, but not as significantly as mental health disorders.
C. Parental divorce can be a stressor, but it is not the highest risk factor for suicide completion.
D. Bipolar disorder significantly increases the risk of suicide in adolescents due to the severe mood swings and potential for depressive episodes.
Correct Answer is D
Explanation
A. IV fluid therapy may be necessary if the child cannot tolerate oral fluids, but oral rehydration therapy is the first line of treatment for mild to moderate dehydration.
B. Administering a regular diet is important for recovery but is not the priority action when addressing acute dehydration.
C. IV antibiotics are not typically necessary for acute diarrhea unless there is a confirmed bacterial infection.
D. Initiating oral rehydration therapy is the priority to address dehydration and replace lost fluids and electrolytes effectively.
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